The Results of Bone Deformity Correction Using a Spider Frame with Web-based Software for Lower Extremity Long Bone Deformities

Overview

Journal SICOT J

Publisher EDP Sciences

Specialty Orthopedics

Date 2016 May 11

PMID 27163100

Authors

Ali Cagri Tekin

Haluk Cabuk

Suleyman Semih Dedeoglu

Mehmet Selcuk Saygili

Mujdat Adas

Cem Zeki Esenyel

Cem Dincay Buyukkurt

Murat Tonbul

Affiliations

Soon will be listed here.

Abstract

Aim: To present the functional and radiological results and evaluate the effectiveness of a computer-assisted external fixator (spider frame) in patients with lower extremity shortness and deformity.

Materials And Methods: The study comprised 17 patients (14 male, 3 female) who were treated for lower extremity long bone deformity and shortness between 2012 and 2015 using a spider frame. The procedure's level of difficulty was determined preoperatively using the Paley Scale. Postoperatively, the results for the patients who underwent tibial operations were evaluated using the Paley criteria modified by ASAMI, and the results for the patients who underwent femoral operations were evaluated according to the Paley scoring system. The evaluations were made by calculating the External Fixator and Distraction indexes.

Results: The mean age of the patients was 24.58 years (range, 5-51 years). The spider frame was applied to the femur in 10 patients and to the tibia in seven. The mean follow-up period was 15 months (range, 6-31 months) from the operation day, and the mean amount of lengthening was 3.0 cm (range, 1-6 cm). The mean duration of fixator application was 202.7 days (range, 104-300 days). The mean External Fixator Index was 98 days/cm (range, 42-265 days/cm). The mean Distraction Index was 10.49 days/cm (range, 10-14 days/cm).

Conclusion: The computer-assisted external fixator system (spider frame) achieves single-stage correction in cases of both deformity and shortness. The system can be applied easily, and because of its high-tech software, it offers the possibility of postoperative treatment of the deformity.

References

Sakurakichi K, Tsuchiya H, Uehara K, Kabata T, Tomita K . The relationship between distraction length and treatment indices during distraction osteogenesis. J Orthop Sci. 2002; 7(3):298-303. DOI: 10.1007/s007760200051. View

Paley D, Bhave A, Herzenberg J, Bowen J . Multiplier method for predicting limb-length discrepancy. J Bone Joint Surg Am. 2000; 82(10):1432-46. DOI: 10.2106/00004623-200010000-00010. View

Eren I, Eralp L, Kocaoglu M . Comparative clinical study on deformity correction accuracy of different external fixators. Int Orthop. 2013; 37(11):2247-52. PMC: 3824895. DOI: 10.1007/s00264-013-2116-x. View

Catagni M, Radwan M, Lovisetti L, Guerreschi F, Elmoghazy N . Limb lengthening and deformity correction by the Ilizarov technique in type III fibular hemimelia: an alternative to amputation. Clin Orthop Relat Res. 2010; 469(4):1175-80. PMC: 3048285. DOI: 10.1007/s11999-010-1635-7. View

Manner H, Huebl M, Radler C, Ganger R, Petje G, Grill F . Accuracy of complex lower-limb deformity correction with external fixation: a comparison of the Taylor Spatial Frame with the Ilizarov ring fixator. J Child Orthop. 2009; 1(1):55-61. PMC: 2656701. DOI: 10.1007/s11832-006-0005-1. View

Baker M, Offutt S . External fixation indications and patient selection. Clin Podiatr Med Surg. 2003; 20(1):9-26. DOI: 10.1016/s0891-8422(02)00051-4. View

Paley D, Catagni M, Argnani F, Villa A, BENEDETTI G, Cattaneo R . Ilizarov treatment of tibial nonunions with bone loss. Clin Orthop Relat Res. 1989; (241):146-65. View

Chaudhary M . Taylor spatial frame-software-controlled fixator for deformity correction-the early Indian experience. Indian J Orthop. 2010; 41(2):169-74. PMC: 2989144. DOI: 10.4103/0019-5413.32052. View

Marangoz S, Feldman D, Sala D, Hyman J, Vitale M . Femoral deformity correction in children and young adults using Taylor Spatial Frame. Clin Orthop Relat Res. 2008; 466(12):3018-24. PMC: 2628244. DOI: 10.1007/s11999-008-0490-2. View

10.

Fadel M, Hosny G . The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop. 2005; 29(2):125-9. PMC: 3474509. DOI: 10.1007/s00264-004-0611-9. View

11.

Paley D, Maar D . Ilizarov bone transport treatment for tibial defects. J Orthop Trauma. 2000; 14(2):76-85. DOI: 10.1097/00005131-200002000-00002. View

12.

Rozbruch S, Segal K, Ilizarov S, Fragomen A, Ilizarov G . Does the Taylor Spatial Frame accurately correct tibial deformities?. Clin Orthop Relat Res. 2009; 468(5):1352-61. PMC: 2853679. DOI: 10.1007/s11999-009-1161-7. View

13.

Feldman D, Shin S, Madan S, Koval K . Correction of tibial malunion and nonunion with six-axis analysis deformity correction using the Taylor Spatial Frame. J Orthop Trauma. 2003; 17(8):549-54. DOI: 10.1097/00005131-200309000-00002. View

14.

Matsubara H, Tsuchiya H, Sakurakichi K, Watanabe K, Tomita K . Deformity correction and lengthening of lower legs with an external fixator. Int Orthop. 2006; 30(6):550-4. PMC: 3172748. DOI: 10.1007/s00264-006-0133-8. View

15.

Cattaneo R, Catagni M, Johnson E . The treatment of infected nonunions and segmental defects of the tibia by the methods of Ilizarov. Clin Orthop Relat Res. 1992; (280):143-52. View

16.

Eidelman M, Bialik V, Katzman A . Correction of deformities in children using the Taylor spatial frame. J Pediatr Orthop B. 2006; 15(6):387-95. DOI: 10.1097/01.bpb.0000228380.27239.8a. View

17.

Rozbruch S, Pugsley J, Fragomen A, Ilizarov S . Repair of tibial nonunions and bone defects with the Taylor Spatial Frame. J Orthop Trauma. 2008; 22(2):88-95. DOI: 10.1097/BOT.0b013e318162ab49. View

18.

Kanellopoulos A, Mavrogenis A, Kanellopoulos N, Magnissalis E, Papagelopoulos P . A guide frame for the Taylor Spatial Frame. J Orthop Trauma. 2009; 23(7):537-40. DOI: 10.1097/BOT.0b013e3181a24021. View

19.

Elbatrawy Y, Fayed M . Deformity correction with an external fixator: ease of use and accuracy?. Orthopedics. 2009; 32(2):82. View

20.

Paley D, Herzenberg J, Paremain G, Bhave A . Femoral lengthening over an intramedullary nail. A matched-case comparison with Ilizarov femoral lengthening. J Bone Joint Surg Am. 1997; 79(10):1464-80. DOI: 10.2106/00004623-199710000-00003. View